Aid agencies said on Thursday that the Ebola outbreak in Democratic Republic of Congo could be tipping into a wider crisis as the number of new cases spiked and violence grounded health workers for a second time.

The disease is believed to have infected 194 people and killed 122 since the outbreak started in eastern Congo in July, according to the health ministry.

The number of new cases per day has more than doubled since September, partly because worsening security is hampering the response, said the International Rescue Committee (IRC).